Cofactor AI Denials Suite is an AI-driven platform designed to automate the insurance denial appeal process for healthcare providers, especially for retroactive denials and audits. The system integrates with the EHR to extract relevant data and generate appeal letters tailored to each case, significantly reducing the time and manual effort required for denial management.
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
Cofactor AI Denials Suite is an AI-driven platform designed to automate the insurance denial appeal process for healthcare providers, especially for retroactive denials and audits. The system integrates with the EHR to extract relevant data and generate appeal letters tailored to each case, significantly reducing the time and manual effort required for denial management. By leveraging AI to analyze clinical notes, legal requirements, and past appeal outcomes, Cofactor AI helps hospitals and clinics improve their revenue cycle by recovering payments.
Customers Served
Categories
Company Info
HQ Location
Chicago, Illinois
Founded
2023
Headcount
11-50
Total Funding
$4M
Latest Round
Seed
Latest Round
04/25/2024
Company Socials
Pricing
ROI-based pricing
Vendor’s Notes
Use Cases
Hospitals and health systems use Cofactor to automatically generate appeals backed by clinical evidence, coding and standard of care guidelines, and peer-reviewed studies required to fight back against DRG downgrades, readmission denials, clinical necessity denials, RAC audits, and retrospective reviews.
Core Differentiators
Cofactor AI is the value capture engine that addresses the most painful bottlenecks in inpatient hospital billing. Our AI can identify discrepancies between claims, documentation, payer policies, and facility contracts fix claims in minutes.
Demos
Customers
2
Verified customers
0.5
Median usage (years)
Type
0
1
2
Hospitals / Health System (2)
Integrations
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Claimed
Adonis Intelligence
Company Info
Founded: 2022
Headcount: 51-200
Customers
Verified Customers: 6
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA, SOC 2 Type 2
Adonis Intelligence provides actionable alerts, predictive analytics, and real-time reports to optimize revenue outcomes. The system integrates with EHR, billing, and practice management systems to enhance insights on collections, accounts receivable, claim denials, and payer performance. The platform helps healthcare organizations identify revenue roadblocks, prevent denials with real-time alerts, and improve cash flow with smart prioritization and comprehensive KPI tracking.
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Amperos Health
Claimed
Amperos Health
Company Info
Founded: 2023
Headcount: 1-10
Customers
Verified Customers: 9
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance Certifications: HIPAA
Amperos Health offers an AI-powered revenue cycle management platform focused on automating denial management and claim collections for healthcare providers. Its core tool, Amanda, acts as a virtual biller that performs tasks like payor portal lookups, denial classification, insurance calls, and follow-up summaries—helping reduce days in accounts receivable and the need for manual staff intervention. Amanda integrates with practice management systems, supports secure data uploads, and allows custom workflows tailored to each provider’s operations.
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Arrow
Claimed
Arrow
Company Info
Founded: 2020
Headcount: 11-50
Customers
Verified Customers: 5
Customers Served: Hospital / Health System, Ambulatory Practice, Digital Health Provider
Product Overview
Security and Compliance Certifications: HIPAA
Arrow is a healthcare payment platform that provides solutions for both healthcare providers and health plans. Its key features include claims acceleration, predictive analytics, real-time claim status updates, and denial management for providers, allowing faster and more accurate payments. For health plans, Arrow offers automated claim adjudication, real-time payment facilitation, and enhanced payment integrity.
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